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,,,�. Ll'ergr.en �'O NST R 11 �TI O N <br />CITY OF ✓ <br />eve���l.��� �ER��� PERMIT NO. 10399 <br />��r,, : ,�� ��, ��.,s <br />Evii�iir.wH su:'o� ❑ COMBIfVATION �BUILDING ❑ MECHANICAL ❑ PLUMBING <br />oru�u� �.ia�no�Hess cur nr� r�iout <br />Karr's i�rothers R V 9701 �vergreen Way Gverett 98204 <br />n—��crurtcr oe oa,icuEn �.+nu r�ooaess crtr ziP w�ou� <br />GCNFRAlC0�17RAG1UR AIAI�ADDRE55 GTY ZIP PHONE LIGENS[ � <br />Simco Sign Corp. P.O. Box 66 Everett 98206 252-0086 <br />�drCMANirALCO!liRACTO� MAllP0�RE55 GTY LiP PMOtI[ LiCF:Sfr <br />5I MC OS C:. 2P3 <br />1'W�dBINGCONiFiACfOR M41LA�pFE55 CIiY 21P Fr!011[ !iCENSE• <br />❑N6W L�FODITION ❑ALTERATION ❑REPAIR ❑DEMOLITION ❑FENCE }(C}�SIGH ❑GARA�E <br />.UAiION 04 P:ORK <br />5 �.�0�0.�7 <br />3GRIHE YJOPK � <br />Erect illuminated sign <br />�POSECUSEOFBUILDWG I <br />t EGAL �ESCRIPTION OF PROPFRi <br />LOT OLOCK__OF <br />/� -- <br />:;�p aCDR[55 <br />•i33'0"l Evergreen Way <br />PLUMOING <br />NO. Tl'PE OF FIXTURE OR ITeM <br />WATER CI OSCL 1(OILETI <br />3 <br />i DRAIN <br />1M BPEAKE'� <br />DflAINS — <br />SFRVIGG — <br />SIDE Y;�FD SETBACF: <br />uSE ZONE <br />FI.iE ZONE <br />SiR[Ei5E78AC1< <br />LOT AREA <br />NG.OF <br />t. ENVIRONMENTAL CNECK LIST <br />[. BUILDING PLANS <br />3. FIRE HYDRANT <br />r,. FI(iE PRCTEC?ION SYSTEh7 <br />5. GCADING <br />6. DRAINA�L <br />7. ENVIFONMENTAL IMPACT STATEM.NT <br />D. HEtaLTH DISTRICT <br />�PPLICATION A�C. !3Y PLANS CHECKED BY <br />RF <br />I HEREBY CERTIFY TfIAT I HAVE READ AN� EXAMWED THIS AP- <br />couacories PLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. <br />ALL PROVISIONS OF LAlNS AN� ORDINANCES GOVERNING THIS <br />TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED <br />H[REIN OR NOT. THE GPAPJTING OF A PcRM1T DOES NOT <br />PR[SUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PRO� <br />VISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING <br />CONSTRUCTION OR THE PERFORMANCE OP CONSTRUCTION. <br />— SiGNA�fU/RE�OFCONIMGiORORAUiHORIZ DFGQENi� �dT <br />X Y l/,I iJC�I'il.� �.��G2icic/r�til �]'//_z _ 0�'` <br />NO. TYPE OF EOUIPMENT FEE <br />AIR COND. Un1T5 — H P. EA __ <br />REFRIGERATION UNITS — F.r. EA <br />BOILENS — H.P. EA. _ <br />GAS FIRED A.C. UNITS — TONNAGS EA _ <br />FORCED AIR SYSiEIdS — B.T.U. M EA __ <br />W4LLHEATERS—BT.U. M __ <br />UNIT HEi.�[RE — B.T.U. A� _ <br />EVAPORATIVE COOLERS _ <br />CLOTHES DRYERS <br />VENTILATION FAN _ <br />RANGEHOOD <br />AIP HANDLING UNIT — C.F.1•�. <br />REAR YFf1D <br />!.-7YES UNO <br />NO. OF UWELLING UNITS <br />aui�oiNc <br />MA%.00C.LOAD <br />KLERS <br />APPR. FOFl ISSUANCE BY <br />NV_LC <br />TOTAL FEE 51 I <br />NUMBER F�l,N CHF.]K FEE <br />FEE RECEIPi 110. <br />FEES VALUATION FEE <br />`l, 000. (.0 <br />PENACfV U.G C. <br />SEC. 303 (a) <br />'�m <br />�� � <br />WH[N PROPEPLY VALIOATED QN THIS SPACEI THIS I� YOUR PERMIT <br />i�3� �dOb.00-= }r> <br />� <br />M <br />: .:)�U 2 R KC [ �'PT � <br />�'.I'� ��'J � <br />� � .,v:� <br />„DpRr`;S f=il.= <br />�,rp 0 ^ <br />� 3 1.ri5 o C <br />